Individual
JORDAN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 W BLUE STARR DR, APT C1, CLAREMORE, OK 74017-2431
(918) 232-2545
Mailing address
1400 W BLUE STARR DR, APT C1, CLAREMORE, OK 74017-2431
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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